WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Review Journal for Medical Science and Pharma Professionals

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

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  • Google Scholar
  • Index Copernicus
  • SOCOLAR, China
  • Research Bible, Fuchu, Tokyo. JAPAN
  • Cosmos Impact Factor
  • Scientific Indexing Services (SIS)
  • UDLedge Science Citation Index
  • International Impact Factor Services
  • International Society for Research Activity (ISRA) Journal Impact Factor (JIF)
  • Scientific Journal Impact Factor (SJIF)
  • IFSIJ Measure of Journal Quality
  • International Scientific Indexing, UAE (ISI) (Under Process)
  • International Impact Factor Services (IIFS)
  • Web of Science Group (Under Process)
  • Directory of Research Journals Indexing
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Abstract

THE ROLE OF ACHILLES TENOTOMY IN CLUBFOOT CORRECTION

Ahmed A. Alsafar MD, Rakan A. Hamid MD*

ABSTRACT

Background: Achilles tenotomy represents the cornerstone of equinus correction within the Ponseti method for congenital talipes equinovarus (clubfoot) and is essential for achieving adequate ankle dorsiflexion and forefoot abduction. Objective: To evaluate the effectiveness, safety, and clinical outcomes of Achilles tenotomy in the management of infants with congenital clubfoot at a tertiary center. Methods: A prospective clinical study was conducted on 50 infants with congenital clubfoot treated according to the Ponseti protocol followed by percutaneous Achilles tenotomy. Demographic, etiological, and laterality data were recorded and outcomes were categorized as complete, near-complete, or residual deformity. Results: Complete correction was achieved in 39 patients (78%), near-complete correction in 7 patients (14%), and residual deformity in 4 patients (8%). Syndromic etiology was significantly associated with a higher rate of non-complete outcomes compared with idiopathic clubfoot.Conclusion: Achilles tenotomy is a safe, minimally invasive, and highly effective procedure for achieving optimal correction in congenital clubfoot, particularly in idiopathic cases.

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